NPI | 1407273048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 024664) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-20 |
Last Update Date | 2024-12-09 |